Oligometastatic PDAC — Surgery Decision Support

Patient & Disease Profile

Generate a recommendation and see the linked evidence bundle (guidance/consensus, trials, systematic reviews/meta-analyses, and key studies).

Ready

Metastatic site

Number of metastases (countable / targetable)

Timing

Systemic therapy: approximate cycles

Response (RECIST / clinical)

CA19-9 baseline value (U/mL)

Ausgangswert vor Therapie

CA19-9 current value (U/mL)

CA19-9 decline (%)

Wird automatisch berechnet

Macroscopic R0 concept feasible (primary + metastases)?

Arterial involvement (primary tumor)

Metastases amenable to complete local treatment (resection/ablation)?

No new metastases on restaging

Disease control surrogate

Acceptable surgical fitness

ECOG Performance Status (0 = fully active, 5 = dead)

1. Metastasen

2. Response

3. Technik

4. Fitness

Enter Generate recommendation · Esc Reset · Ctrl/Cmd+S Save scenario

📊 Score Breakdown (Radar Chart)

How to read: Each axis represents a key factor (0-100%). The blue polygon shows your patient's profile. A larger polygon area indicates a more favorable profile for surgical consolidation. The center (0%) is least favorable, the outer edge (100%) is most favorable.

🎯 Trial Matching Visualization

Click on a trial for detailed eligibility criteria

⏱️ Decision Workflow Timeline

Add custom evidence (local-only)

Wird im Browser gespeichert (localStorage). Kann an aktuelle Recommendation angehängt und die Evidence-Qualität geringfügig anheben (Signal).

Type

Status label

Citation

ID type

ID value / URL

Tags (comma separated)

Takeaway

Quality signal

Attach to current recommendation?

Gespeicherte Items erscheinen automatisch in Evidence und (falls gewählt) bei der aktuellen Recommendation.

Recommendation

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Click "Generate recommendation".

Evidence for this recommendation

Trials are explicitly labeled as protocol-only if results are not yet available.

Szenarien speichern & vergleichen

Exportable consensus-style text

Not a substitute for clinical judgment. Evidence is limited and evolving; consider trial/registry participation whenever feasible. Evidence bundles are transparent and configurable in EVIDENCE_BUNDLES.